Category Archives: Food Safety
The Public Health Quality Improvement Exchange (PHQIX) is an online communication hub for public health professionals interested in learning and sharing information about quality improvement in public health. Created by RTI International and funded by The Robert Wood Johnson Foundation, PHQIX launched in September of 2012 with the goal of sustaining national efforts at quality improvement by providing public health practitioners with the opportunity to learn from the experiences of their colleagues. PHQIX includes:
- An online database of quality improvement efforts by public health departments across the country
- Search and query functions to help users find relevant examples for their own work
- A forum for dialogue on quality improvement
A recent initiative shared on the site called Operation Chuckwagon looked at the maintaining quality control of food safety for mobile food trucks in Northern Kentucky.
Food trucks are growing in popularity across the country as an inexpensive way to try different cuisines, and following some of the weather disasters this past year, some municipalities dispatched food trucks, with cost covered for residents, to areas without power and in need of food. Safety is critical. A recent report in the Morbidity and Mortality Weekly Report from the Centers for Disease Control and Prevention found an outbreak of 91 salmonella cases linked to lunch trucks in Alberta, Canada. An investigation by food inspectors found many food storage and handling violations.
The Kentucky project increased the percentage of properly licensed mobile food vendors to 100 percent from a baseline of 25 percent, and also achieved a 100 percent compliance rate with required temperature controls, which had been a big problem during initial inspections.
NewPublicHealth recently spoke with Ted Talley, environmental health manager at the health department, about the quality improvement initiative.
NewPublicHealth: What’s novel about how you’ve approached the food trucks and made it easier for them to have food safety inspections?
FDA Issues New Food Safety Measures for Foreign Imports
As part of the Food Safety Modernization Act (FSMA), the U.S. Food and Drug Administration (FDA) has issued two new rules regarding the safety of imported foods. The first rule requires that importers verify that suppliers utilize modern, prevention-oriented safety practices. The second rules establishes third-party food safety auditors in the foreign countries that supply food to the United States. Each year the U.S. imports food from about 150 countries, accounting for about 15 percent of the nation’s food supply. “We must work toward global solutions to food safety so that whether you serve your family food grown locally or imported you can be confident that it is safe,” said FDA Commissioner Margaret A. Hamburg, MD. “Today’s announcement of these two new proposed rules will help to meet the challenges of our complex global food supply system. Our success will depend in large part on partnerships across nations, industries, and business sectors.” Read more on food safety.
Study: U.S. Adults with Atrial Fibrillation to Double by 2030
At the current rate, the number of U.S. adults with atrial fibrillation (AF) will more than double to an estimated 12 million cases by 2030, according to a new study in the American Journal of Cardiology. About 5 million Americans suffered from the dangerous irregular heartbeat in 2010, which can lead to severe chest pains, limit the ability to exercise or even cause heart failure. "Even AF patients without symptoms are at five-fold increased risk of stroke, which often leads to major disability or death," said study coauthor Daniel Singer, MD, professor of medicine at Harvard Medical School in Boston. The risk for the illness, which is most common in older people, can be reduced through preventive health care that includes the diagnosis and treatment of hypertension, diabetes and sleep apnea, as well as by getting exercise and maintaining a healthy body weight. Read more on heart health.
Tips on Preventing Playground Injuries
About 600,000 kids were injured at playgrounds in 2012, according to the U.S. Consumer Product Safety Commission, including about 210,000 on monkey bars/climbing structures, 151,000 on swing sets, 125,000 on slides, 10,000 on seesaws/teeterboards and 56,000 on other playground equipment. However, with proper knowledge and care, it’s possible to prevent injuries, according to the Commission. "Parents and caretakers should steer clear from playgrounds with asphalt or concrete surfaces, metal or wood swing sets, or any apparatus that can trap a child's head,” said Jennifer Weiss, MD, an American Academy of Orthopaedic Surgeons spokeswoman. “Before children start to play, remind them of basic playground rules, such as one person on the slide at a time, and no running in front of moving swings and teeter-totters. Make sure that you can clearly see your child on the playground at all times.”
Other safety tips for parents and caregivers include:
- Use age-appropriate playground equipment
- Avoid swing sets with metal or wood seats—stick to plastic and rubber
- Be careful in the sun
- Make sure there is enough space for play
Read more on safety.
CDC: Youth Homicide Rate at a 30-Year Low
The youth homicide rate reached a 30-year low in 2010, though a slowing of the decline since 2000 indicates the increased need for youth violence prevention strategies, according to a new data in the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report (MMWR). The 2010 rate was 7.5 per 100,000 U.S. youth, ages 10 to 24. Higher-risk youth, including males and non-Hispanic black youth, have seen slower declines in the homicide rate. “We are encouraged to see a decline in the homicide rate among our youth but unfortunately, homicide continues to rank in the top three leading causes of death for our young people,” said Linda C. Degutis, DrPH, MSN, director, CDC’s National Center for Injury Prevention and Control. “Our youth represent our future and one homicide is one too many. Comprehensive approaches that include evidence-based prevention strategies are essential to eliminate homicide as a leading cause of death of young people.” Read more on violence.
FDA Proposes Arsenic Limit for Apple Juice
The U.S. Food and Drug administration has proposed a limit of 10 parts per billion of inorganic arsenic in apple juice, which is about the same levels permitted in drinking water. Inorganic arsenic, which is both naturally occurring in the environment and a product of arsenic-containing pesticides, is a known carcinogen linked to skin lesions, developmental effects, cardiovascular disease, neurotoxicity and diabetes. The non-profit Consumer Reports called the proposal a "reasonable first step in protecting consumers from unnecessary exposure to arsenic." Now that the FDA has released its proposed guidance, we look forward to analyzing the agency's risk assessment, submitting comments, and continuing the dialogue on this important public health issue," said Urvashi Rangan, Director of Consumer Safety and Sustainability at the organization. Read more on food safety.
Study: Air Pollution Kills 2.1 Million People Each Year
As many as 2.1 million people die every year because of global air pollution, according to a new study in the journal Environmental Research Letters. About 470,000 of those are linked to human-caused increases in ozone, although climate change is only a small factor. Fine particulate matter air pollution can get into the lungs, causing cancer and other respiratory illnesses. "Our estimates make outdoor air pollution among the most important environmental risk factors for health," study co-author Jason West, of the University of North Carolina, said in a release. "Many of these deaths are estimated to occur in East Asia and South Asia, where population is high and air pollution is severe." Read more on environment.
Recession Saw Parents Cut Back on Care for Kids with Special Health Needs
The financial struggles of the recent recession led many families to cut back on health care treatments for children with chronic physical or emotional problems, according to the journal Health Affairs. About one in every five U.S. kids fits these criteria. "Those are children who require health or related services beyond those required by children generally," said researcher Pinar Karaca-Mandic, an assistant professor of public health at the University of Minnesota. "A child with asthma would fit in this category, for example. A child with depression, ADHD or a physical limitation would also fit this definition." Researchers analyzed government data on out-of-pocket costs for families with private insurance from 2001 to 2009, finding expenses climbed steadily until 2007, when spending for generally healthy children jumped but spending for kids with special health needs dropped. Dental care and prescription medications were the services most likely to see cut backs. Christina Bethell, professor of pediatrics at Oregon Health and Science University, in Portland, said the findings demonstrate that "We're not putting a system of care together for kids that appears to be optimal, and families are struggling.” Read more on access to health care.
CDC: Older Americans, Pregnant Women at Greatest Risk for Listeria
Older Americans, pregnant women, newborns and people with weakened immune systems account for approximately 90 percent of all Listeria food poisoning cases each year, according to the a new Vital Signs report from the U.S. Centers for Disease Control and Prevention. The report outlines safety measures to help prevent the bacterial infection, including knowing which foods are highest risk and how to prepare them properly. About 1,600 people contract Listeria annually and it is the third leading cause of food poisoning deaths. Read more on food safety.
Health of Black, Hispanic Teens Most Affected by Fast Food Near Schools
Fast food restaurants near schools have the greatest negative impact on the health of black and Hispanic teens in lower-income neighborhoods, according to a new study in the Journal of Public Policy & Marketing. Those teens were more likely than white of Hispanic kids to be overweight or obese. For all students, fast food one mile closer to school basically offset the benefits of one day of exercise per week; for black and Hispanic teens it offset up to three days of exercise. "The findings imply that it is important to examine the behaviors and contexts associated with low-income and ethnic minority status in urban areas," study co-author Sonya Grier, associate professor of marketing at American University, noted in the release. "These populations not only are the fastest growing but also have the highest rates of obesity, and research is relatively limited." Read more on obesity.
FDA’s New Food Defense Tool Helps Stop Intentional Contamination
The U.S. Food and Drug Administration (FDA) has developed a new Food Defense Plan Builder tool to help owners and operators of food facilities create plans to minimize intentional contamination. While rare, intentional contamination, intentional contamination can be a serious public health problem. For example more than 40 people in Kansas became sick in 2009 when an employee put pesticide in salsa. Based on FDA’s food defense guidance documents, the tool uses a series of pointed questions to develop a customized food defense plan, including a vulnerability assessment; broad and focused mitigation strategies; and an action plan. Read more on food safety.
Text4baby Programs Gives Pregnant Women, Mothers Critical Information
The 2013 Text4baby State Enrollment Content will promote the mobile health tool while providing pregnant women with important information on their pregnancy and their child’s first year of life. By texting “BABY” (or “BEBE” for Spanish) to 511411, they will receive three free weekly text messages addressing issues such as labor signs and symptoms; prenatal care; developmental milestones; immunizations; nutrition; birth defect prevention; and safe sleep. The program is supported by more than 950 health departments, academic institutions, health plans, businesses and the U.S. Department of Health and Human Services. Under the contest, the states with the highest enrollment percentages will be recognized at the American Public Health Association Annual Meeting in Boston, Mass. in early November. Read more on maternal and infant health.
Citing High Cancer Risk, Angelina Jolie Undergoes Preventive Double Mastectomy
A mutated BRCA1 or BRCA2 gene makes a woman five times more likely to develop breast cancer in her life. On Tuesday in an op-ed in The New York Times, Angelina Jolie — who carries a “faulty” BRCA1 — announced she has undergone a double mastectomy to reduce her risk of developing the cancer. Her physicians had estimated an 87 percent risk of breast cancer and 50 percent risk of ovarian cancer. "I choose not to keep my story private because there are many women who do not know that they might be living under the shadow of cancer,” she wrote. “It is my hope that they, too, will be able to get gene tested." A woman with one of the faulty genes is at an average 60 percent risk of developing breast cancer; a woman without a mutated gene is at an average 12 percent risk. Today CNN anchor Zoraida Sambolin also announced she is getting a double mastectomy. Read more on cancer.
The U.S. Food and Drug Administration (FDA) has announced that it will investigate the safety of caffeine in food products, especially the effects of caffeine on children and teens. The FDA’s announcement comes as an increasing number of food companies have introduced food products that contain caffeine—including gum, jelly beans, hot sauce, marshmallows and Cracker Jacks.
Caffeine can be addictive, and can lead to high blood pressure and insomnia, according to the American Academy of Pediatrics (AAP). AAP discourages the use of caffeine by kids and teens. Caffeine levels vary in the new foods on the market. According to the FDA, a caffeinated version of Wrigley’s gum contains as much caffeine as four ounces of coffee, per piece. The new caffeinated gum packs each contain eight pieces of gum.
Mammography Rates Remained Steady After Change in Guidelines
The proportion of women undergoing screening for breast cancer every year did not change after U.S. Preventive Services Task Force released recommendations saying there wasn't enough evidence to support routine mammograms for women in their 40s, according to a new study published in the journal Cancer. In 2009, the Task Force changed their recommendations to state that women aged 50 to 74 should have a mammogram every other year, and screenings for women under age 50 should be evaluated by each woman with her doctor, according to individual risk factors. "When there are conflicting versions of guidelines, providers may err on the side of screening," said David Howard, a health policy researcher from Emory University in Atlanta, in an interview with Reuters. Read more on cancer.
Latest HIV Vaccine Study Halted
The National Institutes of Health halted a study testing an experimental HIV vaccine after an independent review board found the vaccine did not prevent HIV infection and did not reduce the amount of HIV in the blood. The trial, started in 2009, is the latest in a series of failed HIV vaccine trials, according to Reuters. The halted study included more than 2,500 volunteers in 19 U.S. cities. Study populations included men who have sex with men and transgender people who have sex with men. Read more on HIV.
CDC's Food Safety Report Card: Some Foodborne Illnesses Spiked in 2012
The Centers for Disease Control and Prevention (CDC) recently released the "nation’s annual food safety report card," and it shows that 2012 rates of infections from two types of foodborne bacteria—campylobacter and Vibrio—have increased significantly when compared to a baseline period of 2006-2008, while rates of most others have not changed during the same period. The data are part of the Foodborne Diseases Active Surveillance Network report. Campylobacter infections have been linked to tranmission in many foods, including poultry, raw milk and produce. These infections were at their highest level since 2000, up 14 percent since 2006-2008. Vibrio infections, often associated with raw shellfish, were up 43 percent.
“The U.S. food supply remains one of the safest in the world,” said CDC Director Tom Frieden, MD, MPH. “However, some foodborne diseases continue to pose a challenge. We have the ability, through investments in emerging technologies, to identify outbreaks even more quickly and implement interventions even faster to protect people from the dangers posed by contaminated food.” Read more on food safety.
Hookahs Not a Safe Alternative to Cigarettes
Despite the belief of many, smoking tobacco using a hookah is not a safe alternative to cigarettes, according to a new study in the American Association for Cancer Research’s Cancer Epidemiology, Biomarkers & Prevention. Hookah use produces higher levels of carbon monoxide and benzene, linked with heart or respiratory conditions and increased risk of leukemia, respectively. “People want to know if it is a lesser health risk if they switch from cigarettes to smoking a water pipe on a daily basis,” said UC San Francisco research chemist Peyton Jacob III, PhD. “We found that water-pipe smoking is not a safe alternative to cigarette smoking, nor is it likely to be an effective harm-reduction strategy.” The mix of toxins produced by a hookah is due to the combination of the two difference materials smoked, according to researcher Neal Benowitz, MD, of the San Francisco General Hospital and Trauma Center. “You’re basically burning a charcoal briquette on top of the tobacco,” Benowitz said, “and most of what you’re smoking is a moist fruit preparation, which is mixed with the tobacco. It smells good and it tastes good.” Read more on tobacco.
CDC: Number of U.S. Foodborne Illness Cases at a Standstill
After dropping for many years, the number of foodborne illnesses in the United States has apparently leveled out, according to a new study in the Morbidity and Mortality Weekly Report. About 48 million people—or one in six—suffer from a foodborne illness each year. The most common cause is salmonella. "It is still the case now that numbers were lower than they were back in the 1990s," said Robert Tauxe, MD, deputy director of the division of foodborne, waterborne and environmental diseases at the U.S. Centers for Disease Control and Prevention (CDC). "But right now we're just about where we were in 2006 to 2008, and we may need to identify additional ways to reduce contamination, as well as heightening awareness among consumers about the importance of thoroughly cooking and safely handling ground beef in their own homes." Read more on food safety.
Exercise, Healthy Eating Helps Keep Sleep Apnea in Check
The combination of exercise and healthy eating is a simple way to ease the effects of mild sleep apnea, according to a new study in JAMA Internal Medicine. The key is weight loss. Researchers “found obese study participants who went through a one-year lifestyle intervention were about half as likely to see their sleep apnea progress to more severe disease,” according to Reuters. "It usually takes at least a few years to progress from mild disease to the more severe disease, and mostly it's due to weight gain," said Henri Tuomilehto, MD, who led the new study at the Oivauni Sleep Clinic in Kuopio, Finland. "With these results, we can say that if we change our lifestyle…we really can stop the progression of sleep apnea.” Read more on obesity.
FDA Budget Includes Funds for Food, Medical Product Safety Improvements
The U.S. Food and Drug Administration’s (FDA) requested $4.7 billion budget will include funds to support the Food Safety Modernization Act and to help ensure the safety of medical products. However, the budget will also include a $15 million cut related to human drug, biologics and medical device programs. “Our budget increases are targeted to strategic areas that will benefit patients and consumers and overall strengthen our economy,” said Margaret A. Hamburg, M.D., Commissioner of Food and Drugs. “Through the good work of the FDA, Americans will receive life-saving medicines approved as fast as or faster than anywhere in the world, confidence in the medical products they rely on daily, and a food supply that is among the safest in the world.” Read more on food safety.
Study: No Link Between Fertility Drugs, Increased Ovarian Cancer Risk
There is no link between fertility drugs and an increased risk of ovarian cancer, according to a new study in the journal Fertility and Sterility. While previous studies have suggested a connection, Albert Asante, MD, lead author of the study and a clinical fellow in the division of reproductive endocrinology at the Mayo Clinic, said the results show that “women who need to use fertility drugs to get pregnant should not worry about using these fertility drugs." The study looked at the medical information of approximately 1,900 women who participated in an ovarian cancer study at the Mayo Clinic. Approximately 13 out of every 100,000 women will develop ovarian cancer in their lives. Read more on cancer.
Unemployment Stress Can Lead to Severe Cardiovascular Troubles
The stress and anxiety of unemployment can cause both immediate and long-lasting cardiovascular problems. There’s even a possibility of something called “broken heart syndrome.” "In a very stressful situation, you can actually get a severe release of adrenaline and sympathetic nerve discharges that cause the heart to beat irregularly," said John Higgins, MD, a sports cardiologist at the University of Texas Health Science Center in Houston, according to HealthDay. In the most severe cases this can lead to heart attack. However, Kavitha Chinnaiyan, MD, director of cardiac imaging at Beaumont Hospital in Royal Oak, Mich., said steps can be taken to reduce the damage. "We know from studies that behaviors such as meditation, yoga and tai chi work specifically to reduce our response to stress," she said, noting that meditation in particular “helps you see your choices and have a clearer perspective of what to do next. Stress may still be around us, but meditation gives us a better ability to cope with it." Learn more on the connection between stable employment and health in an INFOGRAPHIC.
Hopkins Researchers Use Twitter to Track the Flu
A new method of tracking influenza cases using Twitter could also be utilized to track other illnesses, according to researchers at the Johns Hopkins University. The researchers, along with computer scientists, created an algorithm that uses human language-processing technologies to filter out general discussion about the flu and zeroes in on messages about actual flu cases, according to Reuters. The National Institutes of Health's Models of Infectious Disease Agent Study contributed funding to the research. Read more on influenza.
Recalls Announced by Two Well-known Food Companies
Some well-known food companies recalled products yesterday. ConAgra Foods, of Omaha, Neb., has initiated a voluntary recall for lots of its 8 ounce Hunt's Tomato Sauce (regular variety) and Hunt's Tomato Sauce No Salt Added. There are no concerns about the actual food, but a defect in the can cause them to burst when opening. Also BBU Inc., the parent of the Bimbo Bakeries companies, is voluntarily recalling certain of its fresh bagels due to the possibility of metal fragments. Read more on food safety.
Study: Bad News Leads to More Eating, Calorie Cravings
Bringing new meaning to the concept of “comfort food,” researchers have found that bad news—messages of struggle and adversity—can cause people to overeat. In the study, participants shown negative messages ate 40 percent more than those who saw neutral messages. They were also more drawn to high calorie foods. "It is clear from the studies that taste was not what caused the reactions, it was a longing for calories," said study author Juliano Laran, an assistant professor of marketing at the University of Miami School of Business Administration, in a release. “These findings could have positive implications for individuals in the health care field, government campaigns on nutrition, and companies promoting wellness. And, certainly beware of savvy food marketers bearing bad news." The study appears in the journal Psychological Science. Read more on nutrition.